Disparities in Health Insurance Coverage and Health Status Among Farmworkers, Sonoma County, California, 2013-2014.
Disparities in Health Insurance Coverage and Health Status Among Farmworkers, Sonoma County, California, 2013-2014.
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DOI：
10.5888/pcd13.150519
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发表时间：
2016-03-31
影响因子：
5.5
通讯作者：
Katz SC
中科院分区：
文献类型：
--
作者：
Moore KL;Mercado J;Hill J;Katz SC
索诺马县农场工人健康调查（FHS）的目的是描述加州索诺马县成年农场工人的健康和福祉，并确定这一人群可预防的健康差异。从2013年9月到2014年1月，使用基于场地和方便的抽样方法对293名18岁或以上的农场工人进行了调查。这些问题包括自我评估的一般健康状况、糖尿病和高血压以及体重指数。为了确定接受调查的农场工人和索诺马县居民之间的总体差异，通过对2011-2012年加州健康访谈调查中的索诺马县成人（≥18岁）样本进行间接标准化，得出年龄调整后的患病率估计值。接受调查的农场工人大多是男性（91%）和拉丁美洲人或西班牙裔（95%），54%的人的教育程度为8年级或更低。大多数（81%）农场工人报告说，他们的家庭收入在2012年不到30，000美元。调整年龄后，30%的农场工人拥有美国医疗保险，而2011-2012年索诺马县成年人的比例为86%（P < .001），15%的农场工人报告在调整年龄后曾被诊断患有糖尿病，而索诺马县成年人的比例为5%（P = .002）。调整年龄后，44%的农场工人报告健康状况不佳或一般，而索诺马县成年人的这一比例为13%（P < .001）。我们发现索诺马县农场工人和索诺马县成年人之间存在显著的健康差异。需要进行更多的研究和制定新的卫生政策，以消除这些健康差距，并促进农场工人获得卫生保健系统。
The Sonoma County Farmworker Health Survey (FHS) was conducted to describe the health and well-being of adult farmworkers in Sonoma County, California, and to identify preventable health disparities for this population. From September 2013 through January 2014, venue-based and convenience sampling were used to survey 293 farmworkers aged 18 years or older. The questions included self-rated general health, diabetes and hypertension, and body mass index. To identify disparities between surveyed farmworkers and Sonoma County residents overall, age-adjusted prevalence estimates were developed by using indirect standardization to the adult (≥18 years) Sonoma County sample from the California Health Interview Survey for 2011–2012. Surveyed farmworkers were mostly male (91%) and Latino or Hispanic (95%), and 54% had an educational attainment of 8th grade or less. Most (81%) farmworkers reported their families earned less than $30,000 in 2012. After adjusting for age, 30% of farmworkers had US-based health insurance as compared with the 86% of Sonoma County adults in 2011–2012 (P < .001), and 15% of farmworkers reported ever being diagnosed with diabetes after adjusting for age as compared with 5% of Sonoma County adults (P = .002). After adjusting for age, 44% of farmworkers reported poor or fair health in general as compared with 13% of Sonoma County adults (P < .001). We identified significant health disparities between Sonoma County farmworkers and Sonoma County adults overall. Additional research and new health policies are necessary to eliminate these health disparities and to facilitate farmworker access to the health care system.